rs11542040

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_000041.4(APOE):​c.304C>A​(p.Pro102Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000685 in 1,460,616 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P102R) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

APOE
NM_000041.4 missense

Scores

5
8
6

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 1.50
Variant links:
Genes affected
APOE (HGNC:613): (apolipoprotein E) The protein encoded by this gene is a major apoprotein of the chylomicron. It binds to a specific liver and peripheral cell receptor, and is essential for the normal catabolism of triglyceride-rich lipoprotein constituents. This gene maps to chromosome 19 in a cluster with the related apolipoprotein C1 and C2 genes. Mutations in this gene result in familial dysbetalipoproteinemia, or type III hyperlipoproteinemia (HLP III), in which increased plasma cholesterol and triglycerides are the consequence of impaired clearance of chylomicron and VLDL remnants. [provided by RefSeq, Jun 2016]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.8

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
APOENM_000041.4 linkuse as main transcriptc.304C>A p.Pro102Thr missense_variant 4/4 ENST00000252486.9 NP_000032.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
APOEENST00000252486.9 linkuse as main transcriptc.304C>A p.Pro102Thr missense_variant 4/41 NM_000041.4 ENSP00000252486 P1
APOEENST00000425718.1 linkuse as main transcriptc.304C>A p.Pro102Thr missense_variant 3/31 ENSP00000410423
APOEENST00000434152.5 linkuse as main transcriptc.382C>A p.Pro128Thr missense_variant 4/42 ENSP00000413653
APOEENST00000446996.5 linkuse as main transcriptc.304C>A p.Pro102Thr missense_variant 4/42 ENSP00000413135

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
6.85e-7
AC:
1
AN:
1460616
Hom.:
0
Cov.:
33
AF XY:
0.00000138
AC XY:
1
AN XY:
726602
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.00e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.19
BayesDel_addAF
Pathogenic
0.21
D
BayesDel_noAF
Uncertain
0.070
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.51
D;T;.;.
Eigen
Uncertain
0.22
Eigen_PC
Benign
0.055
FATHMM_MKL
Benign
0.43
N
LIST_S2
Benign
0.85
T;T;T;T
M_CAP
Pathogenic
0.51
D
MetaRNN
Pathogenic
0.80
D;D;D;D
MetaSVM
Pathogenic
1.1
D
MutationAssessor
Uncertain
2.3
M;.;.;.
MutationTaster
Benign
0.76
D
PrimateAI
Benign
0.44
T
PROVEAN
Pathogenic
-6.7
D;D;.;D
REVEL
Uncertain
0.57
Sift
Uncertain
0.0020
D;D;.;D
Sift4G
Uncertain
0.027
D;D;D;D
Polyphen
0.99
D;.;.;.
Vest4
0.62
MutPred
0.58
Gain of phosphorylation at P102 (P = 0.0241);Gain of phosphorylation at P102 (P = 0.0241);.;Gain of phosphorylation at P102 (P = 0.0241);
MVP
0.99
MPC
1.7
ClinPred
0.91
D
GERP RS
4.3
RBP_binding_hub_radar
0.97
RBP_regulation_power_radar
2.7
Varity_R
0.63
gMVP
0.73

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs11542040; hg19: chr19-45411857; API